Amanda Stoneback ATC

NPI 1740566900 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1740566900
Gender Female
Enumeration Date 11/01/2011
Last Updated 01/11/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
205 W WACKER DR
SUITE 1020
CHICAGO IL, 60606-1216, US
Phone (312) 640-0329
Fax
Business Location
2160 CATTAIL RUN
APT 209
GURNEE IL, 60031-9617, US
Phone (847) 502-2570
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Illinois
License Number 096.002963
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According to our database, Ms. Amanda Stoneback ATC NPI is 1740566900, taxonomy code is 2255A2300X and license number is 096.002963, license state is located at Illinois. Amanda Stoneback ATC physically located at 205 W Wacker Dr, Chicago IL, 60606-1216. NPI Number Amanda Stoneback ATC has the Individual type.

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1740566900 NPI number is provided on an as is basis without warranty of any kind. 1740566900 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Stoneback ATC are for informational purposes only.